KEVIN J WALTHER (Credential# 1371286) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 11, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.
KEVIN J WALTHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011132. The credential type is physical therapist. The effective date is August 11, 2016. The expiration date is June 30, 2017. The business address is 5176 Canadice Lake Rd, Hemlock, NY 14466-9605. The current status is inactive.
Licensee Name | KEVIN J WALTHER |
Credential ID | 1371286 |
Credential Number | 14.011132 |
Credential Type | Physical Therapist |
Business Address |
5176 Canadice Lake Rd Hemlock NY 14466-9605 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2016-08-11 |
Effective Date | 2016-08-11 |
Expiration Date | 2017-06-30 |
Refresh Date | 2017-10-03 |
Street Address | 5176 CANADICE LAKE RD |
City | HEMLOCK |
State | NY |
Zip Code | 14466-9605 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Ellen Finucane | 4845 S Main St, Hemlock, NY 14466-9714 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah J Sharrard-boughton | 8 Widgeonway, Hemlock, MI 48626-9225 | Optometrist | 2020-04-01 ~ 2021-03-31 |
City | HEMLOCK |
Zip Code | 14466 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + HEMLOCK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen Walther | 45 Wells Road, Granby, CT 06035 | Physical Therapist | 2003-09-08 ~ 2004-10-31 |
Kevin Stimmel | 57 Joy Rd Apt 57c, Milford, CT 06460-6049 | Physical Therapist | ~ |
Kevin M Schoenberger | 415, Ledyard, CT 06339 | Physical Therapist | 1995-10-16 ~ 1996-12-31 |
Kevin Vincent Howard | 15 Dayton Rd, Bethany, CT 06524 | Physical Therapist | ~ |
Kevin P Berghorn | 330 Stonegate Rd, Southington, CT 06489-3831 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
Kevin M Griffin | Po Box 151, South Glastonbury, CT 06073 | Physical Therapist | 2000-12-04 ~ 2002-01-31 |
Kevin Fiori | 594 Cortland Cir, Cheshire, CT 06410-2938 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
Kevin N Baldeo | 141 Warsaw St, Fairfield, CT 06825-3749 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Kevin Stimmel | 429 Post Rd E, Westport, CT 06880-4401 | Physical Therapist | 2019-09-03 ~ 2020-09-30 |
Kevin C Froese | 196 Oxford St, Hartford, CT 06105 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).